Individual
MOLLY ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC17717
MD
101YP2500X
Professional Counselor
Primary
LGP13419
MD
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
RBT-21-180329
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/27/2021
Last updated
08/06/2026
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